HAZUS-MH ORDER FORM FEMA HAZUS®-MH FEMA’s Software Program for Estimating Potential Losses from Disasters HAZUS-MH MR3 (Version 1.3 September 2007 To order HAZUS-MH software, provide the requested information on this order form and mail or fax a copy to: FEMA Publications Warehouse P.O. Box 2012, Jessup, MD 20794-2012 Phone: 1 (800) 480-2520 (M-F: 8:00 a.m. - 5:00 p.m. est) Fax: (301) 362-5335 Prior to ordering, please ensure that your system meets the requirements to run HAZUS-MH MR3. For system requirements, visit http://www.fema.gov/plan/prevent/hazus/hz_reqmnts.shtm. (Name and Title) Name and Title: Organization: (Organization) Street Address: (Street Address) City: (City) State/Zip Code: (State/Zip) Telephone No: ( ) (Phone) (Phone area code) Fax No: ( ) (Fax) (FAX area code) E-mail: (E-mail) HAZUS-MH MR3 (HAZUS-MH Version 1.3, September 2007) To install and run HAZUS-MH MR3, the user needs to have the Applications DVD that contains the Setup*, and at least one of the following multi-state Data DVDs. Please indicate your preference below. (Applications DVD) (Data DVD #1: (A1) – AK, AZ, CA, HI, ID, NV, OR, UT, and WA) Applications DVD – Setup*, User and Technical Manuals, Shake Map Utility for Earthquakes Data DVD #1: (A1) – AK, AZ, CA, HI, ID, NV, OR, UT, and WA (Data DVD #2: (B1) – CO, IA, KS, MN, MO, MT, ND, NE, SD, and WY) Data DVD #2: (B1) – CO, IA, KS, MN, MO, MT, ND, NE, SD, and WY (Data DVD #3: (C1) – AR, LA, MS, NM, OK, and TX) Data DVD #3: (C1) – AR, LA, MS, NM, OK, and TX (Data DVD #4: (D1) – AL, FL, and GA) Data DVD #4: (D1) – AL, FL, and GA (Data DVD #5: (E1) – NC, SC, TN, and Puerto Rico) Data DVD #5: (E1) – NC, SC, TN, and Puerto Rico (Data DVD #6: (F1) – CT, MA, ME, NH, NJ, NY, RI, and VT) Data DVD #6: (F1) – CT, MA, ME, NH, NJ, NY, RI, and VT (Data DVD #7: (G1) – DE, MD, PA, VA, WV, and District of Columbia) Data DVD #7: (G1) – DE, MD, PA, VA, WV, and District of Columbia (Data DVD #8: (H1) – IL, IN, KY, MI, OH, and WI) Data DVD #8: (H1) – IL, IN, KY, MI, OH, and WI * Setup includes FIT, BIT and InCAST (Please send Evaluation Edition of ESRI® ArcGISTM 9.2 and SP2 CD: On) Unchecked Please send Evaluation Edition of ESRI® ArcGISTM 9.2 and SP2 CD www.fema.gov/plan/prevent/hazus Revised 08/08/08